Successful thoracoamniotic shunting using a double-flower catheter in a case of fetal cystic adenomatoid malformation associated with hydrops and polyhydramnios

Ultrasound Obstet Gynecol. 1997 Oct;10(4):293-6. doi: 10.1046/j.1469-0705.1997.10040293.x.

Abstract

We describe a case of congenital cystic adenomatoid malformation treated by thoracoamniotic shunting using a double-flower catheter. An ultrasound examination at 25 weeks' gestation revealed a cystic mass within the fetal thoracic cavity, hydrops and polyhydramnios. Thoracoamniotic shunting under ultrasound guidance using a double-flower catheter was performed at 27 weeks. The procedure not only decompressed the lung cyst but also improved the secondary physiological changes, i.e. mediastinal shift, hydrops and polyhydramnios. A 2438-g male neonate was delivered at 37 weeks with no respiratory problems and resection of the right lower pulmonary lobe was successfully performed 24 h after birth.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Catheterization / instrumentation*
  • Catheterization / methods
  • Cystic Adenomatoid Malformation of Lung, Congenital / complications
  • Cystic Adenomatoid Malformation of Lung, Congenital / diagnostic imaging
  • Cystic Adenomatoid Malformation of Lung, Congenital / therapy*
  • Drainage / instrumentation
  • Drainage / methods
  • Female
  • Humans
  • Hydrops Fetalis / complications*
  • Hydrops Fetalis / diagnostic imaging
  • Infant, Newborn
  • Male
  • Polyhydramnios / complications*
  • Polyhydramnios / diagnostic imaging
  • Pregnancy
  • Ultrasonography, Prenatal*